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Delayed surgical repair of penile fracture under local anesthesia
Taha Abdel Nasser1, Taymour Mostafa
1Andrology and Sexology Department, Faculty of Medicine, Cairo University, Cairo, Egypt.
Introduction:
Penile fracture is a traumatic rupture of the tunica albuginea because of blunt injury of an erect penis.
Aim:
To assess the efficacy of a simple delayed surgical repair of penile fracture after a conservative treatment under local anesthesia in patients presented after 24 hours.
Methods:
Twenty-four patients with penile fracture presented after 24 hours were subjected to history taking, clinical examination, urine analysis, and penile ultrasound. They underwent conservative treatment for 7-12 days, and then a surgical repair under local anesthesia was carried out.
Main Outcome Measures:
A follow-up for 6 months for sexual activity and any associated complaints in addition to local examination.
Results:
All cases were presented with unilateral single tear, and the main cause of penile fracture was sexual intercourse. No intraoperative or postoperative complications were encountered. They regained their sexual activity 4-6 weeks after the repair. One case developed a mild penile deviation that did not interfere with sexual relation after the 6-month follow-up.
Conclusion:
Surgical repair of penile fracture after a conservative treatment is an effective method for patients with delayed presentation devoid of urethral involvement.
